tci ED Coding & Reimbursement Alert - 2013 Issue 8

You Be the Coder: Can You Report an E/M When Procedures Are The Primary Reason For a Visit?

Question: We had this chart recently that mostly seems to be about sewing up the lacerations. Can we legitimately report an E/M service as well? A 27 year old male was brought in by ambulance after he fell from his wheelchair in the driveway of the adjacent rehabilitation hospital. He was thrown several feet from the motorized chair when one of the wheels hit an obstruction on a slope, landing on his face on a pebbled sidewalk.  He was on the ground about 10 minutes until EMS arrived to move him after neck and spine precautions were in...

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